BOF 150

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BOF: 150

A 26 year old pregnant female presents with a history of swelling of her ankles. She in the 36^th week of gestation of her first pregnancy and has been previously well with no significant past medical history and no family history of note. She does not smoke or drink alcohol.

On examination you note bilateral pitting ankle oedema, her BP is 170/120 and she has 3+ protein in her urine.

Hb 11.9 g/dL

WBC 5.9 x109 /L

Platelets 90 x109/L

Bilirubin 46 µmol/L

ALT 120 U/L

Alkaline phosphates 278 U/L

In this patient which one of the following would you prescribe next?

a)    Methyldopa

b)    Nifedipine

c)     Hydralazine

d)    Labetalol

e)    Magnesium

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